On January 16, at the Digital Empowerment Active Health Management Forum and the press conference of China's Millions of People Physical Examination and Health Report (2012-2022), Ruici Medical and Shanghai Jiaotong University jointly released the "China Million People Physical Examination Health Report (2012-2022)" on the 16th.
The health report is compiled based on the full data of 2.47 million (30 to 60-year-old occupational population) in 2022 covering the whole country (mostly in eastern coastal cities) and 137,000 (30 to 60-year-old occupational group) in the Yangtze River Delta region in the past 10 years.
It stands to reason that this kind of joint press conference is often limited to the dissemination of the industry, but this press conference of Ruici Medical is a bit out of the circle.
In the speech session at the press conference, Fang Yixin, founder, chairman and president of Ruici Medical Group, mentioned in his speech that "1,000 yuan cannot do an effective physical examination", which has the feeling of smashing the jobs of peers on the physical examination track.
Leaders dig pits and subordinates fill pits in pits
On January 17, for the view that "1,000 yuan cannot do an effective physical examination", Ruici Medical explained that at present, under the Healthy China strategy, the country strongly promotes early diagnosis and early treatment in the fields of cancer, cardiovascular and brain health, but the price of physical examination items in these fields is high, and the equipment to be used for physical examination in these fields is also relatively expensive, such as CT, MRI and gastrointestinal endoscopy, etc., which cannot be covered by 500 yuan, which also forms the conclusion that "1,000 yuan cannot do effective physical examination".
In this regard, Fang Yixin also gave his solution at the same time - the cost standard of residents' physical examination is not high, but it can be used in 2-3 years to disassemble the examination items, so that guests can do 1-2 items per year, and complete them all in three years, instead of repeating them every year, "This is an effective physical examination".
The "Healthy China Action - Implementation Plan for the Prevention and Treatment of Cardiovascular and Cerebrovascular Diseases (2023-2030)" and the "Healthy China Action - Implementation Plan for Cancer Prevention and Control (2023-2030)" formulated by the National Health Commission and several departments last year originated from the "Healthy China Action - Implementation Plan for Cancer Prevention and Control (2023-2030)" formulated by the National Health Commission and several departments last year.
Implementation Plan for the Prevention and Treatment of Cardiovascular and Cerebrovascular Diseases (2023-2030) It is clear that by 2030, a comprehensive prevention and control system for cardiovascular and cerebrovascular diseases and early diagnosis and treatment covering the whole country will be established, the prevention and treatment capacity and quality of cardiovascular and cerebrovascular diseases in medical and health institutions at all levels will be further improved, the people's cardiovascular and cerebrovascular related health literacy will be significantly improved, and great breakthroughs will be made in the prevention and treatment technology of cardiovascular and cerebrovascular diseases, the upward trend of the incidence and risk factors of cardiovascular and cerebrovascular diseases will be effectively controlled, and the mortality rate of cardiovascular and cerebrovascular diseases will be reduced to less than 190.7 per 100,000.
The "Healthy China Action - Cancer Prevention and Control Action Implementation Plan (2023-2030)" proposes that by 2030, the cancer prevention and control system will be further improved, the comprehensive prevention and control of risk factors, cancer screening and early diagnosis and treatment capabilities will be significantly enhanced, the level of standardized diagnosis and treatment will be steadily improved, the rising trend of cancer incidence and mortality will be curbed, the overall 5-year survival rate of cancer will reach 46.6%, and the disease burden of patients will be effectively controlled.
At last year's document interpretation meeting, Guo Yanhong, director of the Medical Emergency Department of the National Health Commission, said that in the next step, the National Health Commission will work with relevant departments to further promote the prevention and treatment of chronic diseases and the whole process management, take multiple measures to strengthen the comprehensive prevention and treatment of cardiovascular and cerebrovascular diseases and cancer, effectively improve the effect, and lay a solid foundation for building a shared healthy China.
The so-called "early diagnosis and early treatment in the fields of cancer, cardiovascular and brain health strongly promoted by the state" may not be correct, these disease areas are only the focus of this round of Healthy China Plan, and the promotion of early diagnosis and early treatment is not all about allowing patients to go for physical examinations, but more requires the construction of medical infrastructure.
As mentioned in the in-depth promotion of early cancer screening and early diagnosis and treatment, all localities have gradually expanded the coverage of screening, early diagnosis and early treatment for cancers with high prevalence, cost-effective early treatment, and simple and easy screening methods. Optimize the management model of cancer screening, continue to support county-level hospitals to build "cancer screening, early diagnosis and early treatment centers", and further improve the capacity of early screening, early diagnosis and early treatment. Strengthen the connection between screening and early diagnosis and early treatment, improve the continuity of services, and promptly refer screened cancer patients to relevant medical institutions, so as to improve the effectiveness of early diagnosis and early treatment.
In this way, it is inevitable that there is a suspicion of dumping the blame for the Healthy China plan, after all, the word "push" should not match the original intention of the policy.
In addition, Ruici Medical explained,
Through the inquiry, it can be found that the cost of MRI is 300-1000 yuan, and the specific price is related to the patient's city, scanning area, equipment grade and other factors, and it may take 300-800 yuan to do a colonoscopy, and the specific cost is mainly related to the type of colonoscopy selected, and ordinary colonoscopy and painless colonoscopy are common gastrointestinal examination methods.
As for the price of CT scan, the cost of ordinary CT examination is lower, about 200 yuan to 300 yuan, and the cost of enhanced CT examination is higher, about 300 yuan to 600 yuan.
Judging from the above price, 1000 yuan can be used for an effective physical examination, but a single physical examination is required. However, if the physical examination product is packaged very large and complete, but the price is very low, then it is obvious that the so-called effective physical examination report cannot be produced. Does this mean that players in the physical examination track are aware of this problem at the time of product design?
In addition, judging from the information of the e-commerce platform, the subsidized price of the Ruici physical examination parents gold card physical examination package is 838 yuan, the price of the Ruici physical examination cherishing in-depth upgrade package is 1188 yuan, the arrival price of the Ruici health platinum card physical examination package is 1787.4 yuan, and the arrival price of the Ruici physical examination diamond card physical examination package is 2717.65 yuan.
So does it mean that Ruici Physical Examination Parents Gold Card Physical Examination Package, Ruici Physical Examination Cherishing In-depth Upgrade Package, is it the kind of product that "1000 yuan can't do an effective physical examination"?
If you look through the Internet complaint platform "Black Cat Complaint", it is not difficult to find that some consumers have indeed encountered the problems of misdiagnosis, misdiagnosis and serious sales in Ruici physical examination.
A consumer said that his mother had a physical examination at the Ruixing Physical Examination Department of Ruici Physical Examination Center in Nanjing, Jiangsu Province on March 2 last year, and was assessed as a grade 2 breast nodule by mammography.
Then, on August 18, he was diagnosed with breast cancer in Jiangsu Provincial People's Hospital, and then complained to the Nanjing Medical Commission, which asked experts to certify, and judged that Ruici was misdiagnosed in the physical examination, and judged that he was responsible for 20%-40%.
However, Ruici has repeatedly shirked the matter of compensation, and is only willing to bear 30% of the current medical expenses that are not covered by medical insurance. His mother's breast cancer is in the middle and advanced stages, and she needs to take medication for at least five years, and due to the delay in the best time for treatment, it leads to total resection, which is extremely harmful to the patient's health!
According to the consumer, on the morning of November 24, 23, he did a health examination at the Shenyang Ruici Tiexi Physical Examination Center, and the examination package cost was 1,128 yuan. In the examination report received on November 27, the IGA test result of the three immunization tests was 4.84, which was 23% higher than the upper limit of the normal range, indicating hospital diagnosis and treatment.
Therefore, I went to the Department of Rheumatology and Immunology of the First Hospital of the Medical University for further examination as soon as possible on the morning of November 28, and the hospital spent a total of 836 yuan. In the afternoon of the same day, the hospital gave the test results, and the IGA value was 4.1, which was within the normal reference range (1.0-4.2), and there was no abnormality.
After getting the results, I went to the Ruici Physical Examination Center on November 29 and communicated with the person in charge of the center to solve the problem. The person in charge replied at the time that Ruici's biochemical examination was undertaken by a third-party agency, and they needed to communicate with them before replying. The appointment time is December 4.
Later, I received a call from the person in charge of customer service of Ruici Center, who replied to Ruici's third-party cooperative testing agency that their testing was operated according to the process and there should be no problem. Tell me that if I compensate, they will bear the relevant costs, and let the consumer call and contact himself.
The consumer said: "My physical examination was done in Ruici, the money was handed over to Ruici, and the incorrect physical examination results were also given to me by Ruici, and Ruici Physical Examination Center should be responsible for the results and customers." I appealed and requested Shenyang Ruici Physical Examination Center to refund my physical examination fee of 1,128 yuan, and further examination fee of 836 yuan caused by erroneous results. ”
There have also been complaints from consumers about serious sales pitches and poor service. The consumer said that he purchased a Ruici physical examination package at a price of 529 yuan. In the blood sampling office of the physical examination center, I encountered serious sales and poor service, and I insisted that there was a lack of a certain examination item in the package and that I needed to pay for an additional examination, and the service staff kept replying to WeChat messages and WeChat calls, ignoring the customer's consultation and examination.
At 8:14 a.m., the doctor in the X-ray examination room suddenly called me again, saying that he had lost my examination data, and asked me to go back and redo the examination again.
The next day, I immediately went to Renji Hospital for a check-up, and it showed that the overall experience was very bad, seriously unprofessional and perfunctory, and asked for a refund.
"Health is the case, life is entrusted" is the first sentence in the oath of medical students, and this sentence also applies to the physical examination industry. Whether it is based on being responsible for the health of users or for the long-term benign development of the industry, the physical examination industry must first be a "conscience work", and must not regard public health as child's play, and play tricks on any part of the physical examination, so that the quality of the physical examination is discounted.